NPI | 1932765252 |
---|---|
Former Name | MORGAN SPAETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10358-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17095-131) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2025-01-28 |